| The deployment In 2023, Mercyhealth began using Arintra's platform, which uses AI to automate coding and identify missed opportunities for reimbursement. Mercyhealth, based in northern Illinois and southern Wisconsin, has six hospitals and 85 primary and specialty care clinics. The health system has gone live with Arintra's solution at 37 sites, a combination of clinic and hospital locations. The health system uses the tool across 10 specialties: family medicine, internal medicine, urgent care, pediatrics, cardiology, radiology, gynecology, gastroenterology, endocrinology and hospitalist. The platform Arintra's system is designed to accurately code thousands of patient charts without human review. "It reads unstructured clinical language, interprets the nuance in how different providers document and applies complex coding logic in real time," explained Nitesh Shroff, the startup's CEO. The platform then converts that information into medical codes and writes them back into the EHR for immediate claim submission. The results Since deploying Arintra's software, Mercyhealth said it has seen a 5.1% jump in revenue. Before adopting Arintra's platform, Mercyhealth's coders were able to review only about 30% of charts due to volume constraints, which left the health system vulnerable to coding gaps and missed revenue, said Kelly Pierson, Mercyhealth's director of coding and clinical documentation integrity. Arintra now handles the high-volume routine coding. This way, charts are coded more accurately and submitted faster, Pierson said. Mercyhealth also cut its days in accounts receivable by roughly 50% after adopting Arintra's software. Before implementation, the system averaged about 14 days in A/R, and currently, that figure is seven days or fewer, according to Pierson. — By Katie Adams |
No comments